Dubin W R, Wilson S J, Mercer C
Temple University School of Medicine, Philadelphia, PA.
J Clin Psychiatry. 1988 Sep;49(9):338-45.
Questionnaires were sent to 3800 psychiatrists in Pennsylvania, New Jersey, and Delaware to investigate assaults against psychiatrists in outpatient settings. Ninety-one questionnaires were returned: 32 psychiatrists reported serious assaults (gun or knife), and 59 reported less serious assaults (object or physical attack). Significantly more personal injury and property damage resulted from the less serious assaults. Coping strategy was significantly related to the type of assault; positive verbal intervention was the most effective. Thirty-one (36%) of 87 respondents stated that they had moderate to strong feelings before the attack that the patient was potentially violent. Experienced psychiatrists were as likely to be victims of assault as were inexperienced psychiatrists. Forty-eight (59%) of 81 psychiatrists continued to treat the patients who had assaulted them. Only 20 (23%) of 87 psychiatrists had security arrangements at the time of the assault. The authors present four case vignettes which typify the different types of assaults, interventions, and outcomes.
研究人员向宾夕法尼亚州、新泽西州和特拉华州的3800名精神科医生发放了调查问卷，以调查门诊环境中针对精神科医生的袭击事件。共收回91份问卷：32名精神科医生报告了严重袭击事件（使用枪支或刀具），59名报告了不太严重的袭击事件（使用物品或人身攻击）。不太严重的袭击造成的人身伤害和财产损失明显更多。应对策略与袭击类型显著相关；积极的言语干预最为有效。87名受访者中有31人（36%）表示，在袭击发生前，他们对患者可能具有暴力倾向有中度至强烈的感觉。经验丰富的精神科医生与经验不足的精神科医生一样，都有可能成为袭击的受害者。81名精神科医生中有48人（59%）继续治疗袭击过他们的患者。87名精神科医生中只有20人（23%）在袭击发生时有安保措施。作者展示了四个案例 vignettes，它们代表了不同类型的袭击、干预措施和结果。
